RN, House Supervisor

The RN House Supervisor contributes to our mission of enriching the lives of children and families with hope, health, and happiness by providing clinical and operational leadership during the assigned shift, supervising nursing, respiratory, and support staff, coordinating care delivery, addressing emergent concerns, and ensuring continuity, accountability, and quality outcomes across the campus. The RN House Supervisor functions within the RN scope of practice to guide team members and foster a culture of teamwork.

The RN House Supervisor collaborates with the Director of Nursing and the interdisciplinary team to promote the highest practicable quality of life that meets or exceeds federal, state, local, and facility standards. The RN House Supervisor models Excellence, Wellness, Empowerment, and Compassion to create an environment where children, families, and team members thrive.

• Supervise and coordinate daily resident care provided by nursing and respiratory staff, ensuring all clinical interventions are delivered in accordance with individualized care plans, physician orders, regulatory standards, and facility policies.
• Provide on-site clinical leadership during the assigned shift, serving as the highest-level clinical authority and resource for complex decision-making and emergent situations.
• Assess resident conditions, respond to ventilator and monitoring alarms, troubleshoot medical equipment, and promptly elevate significant changes in condition to providers and leadership.
• Function in the capacity of a direct care staff nurse during periods of low staffing or increased acuity, assuming a full resident assignment while maintaining supervisory oversight and ensuring continuity, safety, and quality of care delivery across the shift.
• Ensure accurate, timely, and complete documentation in the electronic health record (EHR) in compliance with HIPAA, CMS, and state regulatory requirements.
• Collaborate with the Staffing Coordinator and leadership to adjust assignments based on resident acuity.
• Review, clarify, and update physician orders in collaboration with providers and the interdisciplinary team to ensure clinical accuracy and regulatory compliance.
• Communicate promptly and professionally with parents/guardians regarding changes in condition, new orders, transfers, or emergent situations, fostering trust and transparency.
• Coordinate admissions, transfers, and discharges during the assigned shift, ensuring safe transitions of care and accurate documentation.
• Monitor medication administration practices, high-risk treatments, and specialized therapies (e.g., ventilator care, tracheostomy care, enteral feeding) to ensure adherence to standards of practice.
• Enforce infection prevention and control protocols, OSHA standards, and safety procedures to maintain a safe environment for residents and team members.
• Support implementation of behavior management strategies while ensuring residents’ physical and emotional needs are met in a therapeutic setting.
• Participate in quality improvement initiatives, incident reviews, and corrective action processes to promote resident safety and continuous improvement.
• Collaborate with interdisciplinary departments including respiratory therapy, therapy services, social services, and leadership to ensure coordinated, resident-centered care delivery.
• Other duties as assigned.

• This position does not have direct supervisory responsibilities; it indirectly supports a diverse team of skilled team members towards collective goals each shift.
• Reports to the Director of Nursing; collaborates with the Vice President of Nursing, Neighborhood Nurse Managers, and the Interdisciplinary Team.
• Treat service recipients, families,…